Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFLA |
Texto Completo: | http://repositorio.ufla.br/jspui/handle/1/46820 |
Resumo: | Type 2 diabetes is one of the most prevalent diseases of the century. And obesity is considered to be one of the main factors of its biogenesis. Women are prevalent among the obese, favoring the occurrence of a greater number of type 2 diabetics, especially after menopause. The deleterious effects of menopause, linked to the implications of diabetes, predispose the development of metabolic syndrome (MS), which is a group of abnormalities, such as central obesity, dyslipidemia, and hypertension. Currently, there are numerous treatments capable of reducing the effects of menopause and diabetes, however, they are of the high cost to public health systems. On the other hand, physical exercise appears as a lower-cost alternative and with benefits in the short, medium, and long terms, such as improved glycemic control, lipid profile, endothelial dysfunction, and the cardiovascular autonomic response. These cardiometabolic benefits are of paramount importance in the treatment of DM2, helping to prevent its onset or delaying the progression of chronic disease complications, making physical exercise one of the main non-pharmacological measures to control diabetes. The literature points out traditional training methods (resistance, aerobic, and combined) as effective in type 2 diabetics, whether in the gain of lean mass and consequently improvement in the glycemic profile, in the loss of fat and attenuation in systemic inflammation, or in women in menopause, with improved quality of life and health. However, studies indicate resistance to lifestyle change and low continuity in physical training programs, making it necessary to identify strategies that result in greater adherence. Functional training, a modality that incorporates a variety of functional movements, such as sitting and standing, running, jumping, pushing, and pulling, and which can be performed at varying intensities and with some ease, as most exercises use bodyweight. It is a type of training that was designed to improve the parameters of general physical fitness and motor performance, in addition to contributing beneficially to metabolic parameters such as blood pressure, insulin resistance, and glucose metabolism. Therefore, the objective of this study was to fill a gap in the literature regarding the cardiorespiratory, cardiometabolic, functional capacity and quality of life benefits of high-intensity functional training in menopausal type 2 diabetics, attended by basic health units (UBS)), from the municipality of Lavras - MG. For this, 12 women participated in the study voluntarily and underwent weekly functional training sessions (3x per week and 60min in duration), for 16 weeks. Parameters of body composition, blood pressure, functional capacity, VO2max were evaluated, as well as laboratory tests for fasting blood glucose (GJ), total cholesterol (TC), triglycerides (TG), LDL-c, HDL-c, and glycated hemoglobin (HbA1c). A questionnaire was also applied to find out the effects of the intervention on the quality of life of these patients. After 16 weeks, there was no improvement in body composition, nor in the lipid parameters evaluated. O2 consumption was significantly increased, and there were significant improvements in the patients' functional capacity. A reduction in systolic blood pressure (SBP) was observed, as well as a reduction in GJ, but HbA1c did not improve significantly. The training also improved the patients' quality of life. We conclude then that 16 weeks of high-intensity functional training was sufficient to promote health benefits for postmenopausal type 2 diabetic women. |
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Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausaEffects of high intensity functional training in type 2 diabetic women in menopauseDiabetes tipo 2MenopausaTreinamento funcionalDiabetes - TratamentoDiabetes em idososType 2 diabetesMenopauseFunctional trainingDiabetes - TreatmentDiabetes in the elderlyCiências da SaúdeType 2 diabetes is one of the most prevalent diseases of the century. And obesity is considered to be one of the main factors of its biogenesis. Women are prevalent among the obese, favoring the occurrence of a greater number of type 2 diabetics, especially after menopause. The deleterious effects of menopause, linked to the implications of diabetes, predispose the development of metabolic syndrome (MS), which is a group of abnormalities, such as central obesity, dyslipidemia, and hypertension. Currently, there are numerous treatments capable of reducing the effects of menopause and diabetes, however, they are of the high cost to public health systems. On the other hand, physical exercise appears as a lower-cost alternative and with benefits in the short, medium, and long terms, such as improved glycemic control, lipid profile, endothelial dysfunction, and the cardiovascular autonomic response. These cardiometabolic benefits are of paramount importance in the treatment of DM2, helping to prevent its onset or delaying the progression of chronic disease complications, making physical exercise one of the main non-pharmacological measures to control diabetes. The literature points out traditional training methods (resistance, aerobic, and combined) as effective in type 2 diabetics, whether in the gain of lean mass and consequently improvement in the glycemic profile, in the loss of fat and attenuation in systemic inflammation, or in women in menopause, with improved quality of life and health. However, studies indicate resistance to lifestyle change and low continuity in physical training programs, making it necessary to identify strategies that result in greater adherence. Functional training, a modality that incorporates a variety of functional movements, such as sitting and standing, running, jumping, pushing, and pulling, and which can be performed at varying intensities and with some ease, as most exercises use bodyweight. It is a type of training that was designed to improve the parameters of general physical fitness and motor performance, in addition to contributing beneficially to metabolic parameters such as blood pressure, insulin resistance, and glucose metabolism. Therefore, the objective of this study was to fill a gap in the literature regarding the cardiorespiratory, cardiometabolic, functional capacity and quality of life benefits of high-intensity functional training in menopausal type 2 diabetics, attended by basic health units (UBS)), from the municipality of Lavras - MG. For this, 12 women participated in the study voluntarily and underwent weekly functional training sessions (3x per week and 60min in duration), for 16 weeks. Parameters of body composition, blood pressure, functional capacity, VO2max were evaluated, as well as laboratory tests for fasting blood glucose (GJ), total cholesterol (TC), triglycerides (TG), LDL-c, HDL-c, and glycated hemoglobin (HbA1c). A questionnaire was also applied to find out the effects of the intervention on the quality of life of these patients. After 16 weeks, there was no improvement in body composition, nor in the lipid parameters evaluated. O2 consumption was significantly increased, and there were significant improvements in the patients' functional capacity. A reduction in systolic blood pressure (SBP) was observed, as well as a reduction in GJ, but HbA1c did not improve significantly. The training also improved the patients' quality of life. We conclude then that 16 weeks of high-intensity functional training was sufficient to promote health benefits for postmenopausal type 2 diabetic women.O diabetes do tipo 2 é uma das doenças mais prevalentes do século, sendo a obesidade um dos principais fatores de risco para o seu desenvolvimento. Existe uma maior prevalência de mulheres dentre os obesos, favorecendo a ocorrência de um número maior de diabéticas do tipo 2, sobretudo, após a menopausa. Os efeitos deletérios da menopausa, atrelados às implicações do diabetes, predispõem ao desenvolvimento da síndrome metabólica (SM), que constitui um grupo de anormalidades, como obesidade central, dislipidemia e hipertensão arterial. Atualmente, existem inúmeros tratamentos para amenizar esses efeitos, entretanto, são de alto custo aos sistemas públicos de saúde. Por outro lado, o exercício físico surge como uma alternativa de menor custo e com benefícios a curto, médio e longo prazo à saúde em geral. Em relação ao DM2, esses benefícios podem auxiliar na prevenção ou retardar a progressão de complicações crônicas da doença, tornando o exercício físico uma das principais medidas não farmacológicas para controle da doença. A literatura aponta métodos tradicionais de treinamento (resistidos, aeróbicos e combinados) como eficazes em diabéticos do tipo 2, seja no ganho de massa magra e consequentemente melhora no perfil glicêmico, na perda de gordura e atenuação na inflamação sistêmica, ou em mulheres na menopausa, com a melhora na qualidade de vida e saúde. Contudo, estudos apontam uma resistência à mudança do estilo de vida e na baixa continuidade em programas de treinamento físico, sendo necessário identificar estratégias que resultem em maior adesão. O treinamento funcional é uma modalidade que incorpora uma variedade de movimentos funcionais, como sentar e levantar, correr, saltar, empurrar e puxar e que pode ser realizado em intensidades variáveis usando o próprio peso corporal. Portanto, o objetivo desse estudo foi preencher uma lacuna existente na literatura com relação aos benefícios cardiorrespiratórios, cardiometabólicos, de composição corporal, capacidade funcional e qualidade de vida do treinamento funcional de alta intensidade em diabéticas do tipo 2 na menopausa, atendidas pelas unidades básicas de saúde (UBS), do município de Lavras - MG. Para isso, 12 voluntárias participaram do estudo, sendo submetidas a sessões de treinamento funcional semanais (3x por semana e 60min de duração), durante 16 semanas. Foram avaliados parâmetros de composição corporal, pressão arterial, capacidade funcional, VO2máx, assim como exames laboratoriais de glicemia em jejum (GJ), colesterol total (CT), triglicérides (TG), LDL-c, HDL-c e hemoglobina glicada (HbA1c). Foi aplicado também, um questionário a fim de saber os efeitos da intervenção na qualidade de vida dessas pacientes. Após 16 semanas, não houve melhora na composição corporal, nem nos parâmetros lipídicos avaliados. O consumo de O2 foi significativamente aumentando, e houve melhoras expressivas na capacidade funcional das pacientes. Foi observado uma redução na pressão arterial sistólica (PAS), assim como uma redução da GJ, porem a HbA1c não melhorou de forma significativa. O treinamento também melhorou a qualidade de vida das pacientes. Conclui-se então que, 16 semanas de treinamento funcional de alta intensidade, foi suficiente para promover benefícios à saúde de mulheres diabéticas tipo 2 na pós-menopausa.Universidade Federal de LavrasPrograma de Pós-Graduação em Ciências da SaúdeUFLAbrasilDepartamento de MedicinaCarvalho, Aline PereiraBertolini, Natália OliveiraCosta, Eduardo DamascenoMoura, Rodrigo Ferreira deBertolini, Natália OliveiraMachado, Pedro Gustavo2021-07-28T19:47:27Z2021-07-28T19:47:27Z2021-07-282021-05-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfMACHADO, P. G. Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa. 2021. 81 p. Dissertação (Mestrado em Ciências da Saúde) – Universidade Federal de Lavras, Lavras, 2021.http://repositorio.ufla.br/jspui/handle/1/46820porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFLAinstname:Universidade Federal de Lavras (UFLA)instacron:UFLA2021-07-28T19:47:27Zoai:localhost:1/46820Repositório InstitucionalPUBhttp://repositorio.ufla.br/oai/requestnivaldo@ufla.br || repositorio.biblioteca@ufla.bropendoar:2021-07-28T19:47:27Repositório Institucional da UFLA - Universidade Federal de Lavras (UFLA)false |
dc.title.none.fl_str_mv |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa Effects of high intensity functional training in type 2 diabetic women in menopause |
title |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
spellingShingle |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa Machado, Pedro Gustavo Diabetes tipo 2 Menopausa Treinamento funcional Diabetes - Tratamento Diabetes em idosos Type 2 diabetes Menopause Functional training Diabetes - Treatment Diabetes in the elderly Ciências da Saúde |
title_short |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
title_full |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
title_fullStr |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
title_full_unstemmed |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
title_sort |
Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa |
author |
Machado, Pedro Gustavo |
author_facet |
Machado, Pedro Gustavo |
author_role |
author |
dc.contributor.none.fl_str_mv |
Carvalho, Aline Pereira Bertolini, Natália Oliveira Costa, Eduardo Damasceno Moura, Rodrigo Ferreira de Bertolini, Natália Oliveira |
dc.contributor.author.fl_str_mv |
Machado, Pedro Gustavo |
dc.subject.por.fl_str_mv |
Diabetes tipo 2 Menopausa Treinamento funcional Diabetes - Tratamento Diabetes em idosos Type 2 diabetes Menopause Functional training Diabetes - Treatment Diabetes in the elderly Ciências da Saúde |
topic |
Diabetes tipo 2 Menopausa Treinamento funcional Diabetes - Tratamento Diabetes em idosos Type 2 diabetes Menopause Functional training Diabetes - Treatment Diabetes in the elderly Ciências da Saúde |
description |
Type 2 diabetes is one of the most prevalent diseases of the century. And obesity is considered to be one of the main factors of its biogenesis. Women are prevalent among the obese, favoring the occurrence of a greater number of type 2 diabetics, especially after menopause. The deleterious effects of menopause, linked to the implications of diabetes, predispose the development of metabolic syndrome (MS), which is a group of abnormalities, such as central obesity, dyslipidemia, and hypertension. Currently, there are numerous treatments capable of reducing the effects of menopause and diabetes, however, they are of the high cost to public health systems. On the other hand, physical exercise appears as a lower-cost alternative and with benefits in the short, medium, and long terms, such as improved glycemic control, lipid profile, endothelial dysfunction, and the cardiovascular autonomic response. These cardiometabolic benefits are of paramount importance in the treatment of DM2, helping to prevent its onset or delaying the progression of chronic disease complications, making physical exercise one of the main non-pharmacological measures to control diabetes. The literature points out traditional training methods (resistance, aerobic, and combined) as effective in type 2 diabetics, whether in the gain of lean mass and consequently improvement in the glycemic profile, in the loss of fat and attenuation in systemic inflammation, or in women in menopause, with improved quality of life and health. However, studies indicate resistance to lifestyle change and low continuity in physical training programs, making it necessary to identify strategies that result in greater adherence. Functional training, a modality that incorporates a variety of functional movements, such as sitting and standing, running, jumping, pushing, and pulling, and which can be performed at varying intensities and with some ease, as most exercises use bodyweight. It is a type of training that was designed to improve the parameters of general physical fitness and motor performance, in addition to contributing beneficially to metabolic parameters such as blood pressure, insulin resistance, and glucose metabolism. Therefore, the objective of this study was to fill a gap in the literature regarding the cardiorespiratory, cardiometabolic, functional capacity and quality of life benefits of high-intensity functional training in menopausal type 2 diabetics, attended by basic health units (UBS)), from the municipality of Lavras - MG. For this, 12 women participated in the study voluntarily and underwent weekly functional training sessions (3x per week and 60min in duration), for 16 weeks. Parameters of body composition, blood pressure, functional capacity, VO2max were evaluated, as well as laboratory tests for fasting blood glucose (GJ), total cholesterol (TC), triglycerides (TG), LDL-c, HDL-c, and glycated hemoglobin (HbA1c). A questionnaire was also applied to find out the effects of the intervention on the quality of life of these patients. After 16 weeks, there was no improvement in body composition, nor in the lipid parameters evaluated. O2 consumption was significantly increased, and there were significant improvements in the patients' functional capacity. A reduction in systolic blood pressure (SBP) was observed, as well as a reduction in GJ, but HbA1c did not improve significantly. The training also improved the patients' quality of life. We conclude then that 16 weeks of high-intensity functional training was sufficient to promote health benefits for postmenopausal type 2 diabetic women. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-28T19:47:27Z 2021-07-28T19:47:27Z 2021-07-28 2021-05-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MACHADO, P. G. Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa. 2021. 81 p. Dissertação (Mestrado em Ciências da Saúde) – Universidade Federal de Lavras, Lavras, 2021. http://repositorio.ufla.br/jspui/handle/1/46820 |
identifier_str_mv |
MACHADO, P. G. Efeitos do treinamento funcional de alta intensidade em mulheres diabéticas do tipo 2 na menopausa. 2021. 81 p. Dissertação (Mestrado em Ciências da Saúde) – Universidade Federal de Lavras, Lavras, 2021. |
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http://repositorio.ufla.br/jspui/handle/1/46820 |
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Universidade Federal de Lavras Programa de Pós-Graduação em Ciências da Saúde UFLA brasil Departamento de Medicina |
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Universidade Federal de Lavras Programa de Pós-Graduação em Ciências da Saúde UFLA brasil Departamento de Medicina |
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Universidade Federal de Lavras (UFLA) |
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Repositório Institucional da UFLA - Universidade Federal de Lavras (UFLA) |
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